RT Book, Section
A1 Kilic, Arman
A1 Whitson, Bryan A.
A1 Kilic, Ahmet
A2 Baliga, R. R.
A2 Abraham, William T.
SR Print(0)
ID 1161018616
T1 Venoarterial Extracorporeal Membrane Oxygenation for the Treatment of Acute Heart Failure
T2 Color Atlas and Synopsis of Heart Failure
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749381
LK accesscardiology.mhmedical.com/content.aspx?aid=1161018616
RD 2024/04/25
AB A  55-year-old  man  with  a  history  of  morbid  obesity,  uncontrolled  diabetes  mellitus,  and  smoking  presented  to  the  emergency  department  48  hours  after  the  onset  of  chest  pain.  He  was  in  cardiogenic  shock  with  sinus  tachycardia  to  120  beats  per  minute  and  hypotension  with  a  blood  pressure  of  87/55  mm  Hg.  An  electrocardiogram  (ECG)  showed  ST  elevations  and  an  emergent  cardiac  catheterization  was  performed,  which  demonstrated  an  occluded  left  anterior  descending  artery.  The  occlusion  could  not  be  crossed  with  a  wire  and  during  the  procedure  the  patient  went  into  ventricular  fibrillatory  arrest.  Immediate  cardiopulmonary  resuscitation  was  undertaken  and  despite  numerous  rounds  of  pharmacologic  therapy  and  chest  compressions,  a  perfusing  rhythm  and  pressure  were  not  achieved.  He  was  placed  on  percutaneous  venoarterial  extracorporeal  membrane  oxygenation  (VA-ECMO)  via  the  femoral  vein  and  femoral  artery  for  acute  cardiogenic  shock.  Over  the  next  7  days,  he  was  weaned  off  of  VA-ECMO  support  and  was  discharged  home  on  optimal  medical  therapy  for  his  coronary  artery  disease  (CAD).